Tumescent Liposuction — Abdomen

Tumescent liposuction of the abdomen removes localised fat deposits from the lower abdomen, upper abdomen, or both zones in a single procedure, performed entirely under local anaesthesia at MUDr. Šimek's Olomouc clinic. The tumescent technique — a hallmark of the clinic's approach — saturates fat tissue with a large volume of diluted anaesthetic solution before aspiration, which numbs the area completely, constricts blood vessels to minimise bleeding, and makes the fat easier to remove precisely. The result is a contoured abdomen achievable without general anaesthesia or hospital admission. Compression garment is included and worn for 2–5 weeks post-procedure. MUDr. Šimek individualises each plan based on fat distribution, skin elasticity, and body proportions, with results visible within two days.

Abdominal fat deposits resistant to diet and exercise are among the most common reasons patients seek surgical body contouring. MUDr. Šimek's practice in Olomouc addresses this with the tumescent liposuction method, a technique that has substantially changed outpatient surgery safety profiles since its widespread adoption in the 1990s. **The tumescent method explained** Before any aspiration begins, the treatment area is infiltrated with a wetting solution — typically containing diluted lidocaine (local anaesthetic), adrenaline (epinephrine), and sodium bicarbonate in a saline carrier. Lidocaine provides complete local numbness for the duration of the procedure. Adrenaline induces vasoconstriction in the tissue, reducing intraoperative blood loss to near-negligible levels and dramatically lowering the risk of haematoma formation. The solution also hydrostatically expands the fat layer, separating adipocytes from connective tissue and making suction more precise and even. The combined effect replaces general anaesthesia and hospital admission for the vast majority of abdominal liposuction cases. **Procedure areas** MUDr. Šimek treats three abdominal zones: the lower abdomen (below the navel, the zone most commonly affected by genetic fat accumulation and post-pregnancy changes), the upper abdomen (above the navel, often thicker in male patients and in patients who carry central weight), and the combined full abdomen. Single-zone procedures start at 25 000 Kč; combined full-abdomen procedures from 35 000 Kč. Each procedure plan is individually designed based on the patient's fat volume, skin laxity, and overall body proportions. **What to expect on the day** The procedure takes approximately 1–1.5 hours for abdominal work. A thin cannula connected to a suction device is passed through small incisions (2–3 mm) in natural skin folds to minimise scar visibility. Patients remain awake and comfortable throughout. Immediately after, a compression garment is applied — this is included in the procedure price — and the patient can leave the clinic the same day without requiring accompaniment (unlike general anaesthesia procedures). **Recovery and results** Significant visible contouring is typically apparent within 2 days of surgery as initial swelling resolves. Compression garment wear for 2–5 weeks reduces residual swelling and supports skin retraction. Light daily activity resumes within 7–10 days; physically demanding work or sport requires approximately 3–4 weeks of avoidance. Final results stabilise over 3–6 months as deeper tissue swelling fully subsides. **Who benefits most** Ideal candidates have localised fat deposits that persist despite consistent diet and exercise — a pattern strongly influenced by genetics, particularly in the lower abdomen. Good skin elasticity predicts better skin retraction post-procedure; patients with significant skin laxity may need a complementary tummy tuck (abdominoplasty) rather than liposuction alone, which MUDr. Šimek will assess at consultation.